摘要
位于肝Ⅶ、Ⅷ段的巨大肿瘤，如果左半肝体积足够大，选择右半肝切除术相对比较容易实施。但当左半肝体积不足时，为了避免术后肝功能衰竭，必须保留肝V、Ⅵ段组织，手术难度明显增大。2012年7月26日，我科对1例肝Ⅶ、Ⅷ段巨大肝癌患者成功实施了保留肝V、Ⅵ段的肝癌切除术，效果良好。
Resection of huge hepatic tumor located at segments Ⅶ and Ⅷ with reservation of segments V and Ⅵ is difficult, because the right hepatic vein is easy to be injured during the operation. A male patient with huge hepatic tumor in the right lobe was admitted to the Cancer Hospital of Guangxi Medical University on July 26, 2012. The tumor （ diameter ： 14 cm） was located at segments Ⅶ and Ⅷ. The tumor and the whole structure of the liver were three dimensionally reconstructed by using digital medical technology and liver surgery planning sys- tem. The right hepatic vein was closely adjacent to the tumor. During the operation, the fight Glisson pedicles were occluded intermittently, the liver parenehyma was dissected with eavitron ultrasonic surgical aspirator, and the right hepatic vein was occlued with non-invasive vascular clamp. The tumor was reset- ted completely, with successful preservation of the trunk of right hepatic vein. No blood transfusion was needed, and the blood supply to segments Ⅴ and Ⅵ was not influenced. The patient recovered rapidly and was discharged on postoperative day 14.
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2012年第6期549-551,共3页
Chinese Journal of Digestive Surgery
关键词
肝肿瘤
肝切除术
手术技巧
Liver neoplasms
Liver resection
Surgical technique
